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csf myelin basic protein…

 

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what the risks are this is a test to measure the level of myelin basic protein, in the cerebral spinal fluid, csf, myelin, substance that covers the nerves, acts, an insulator, insulation, information from nerves would be transmitted inefficiently which might result in weakness, sensory loss, neurologic dysfunction, myelin basic protein, mbp, the components found in myelin, marker of its presence, mbp is measured, in the spinal fluid, there has been inflammation, myelin breakdown, in the central nervous system, a lumbar puncture, spinal tap, common means of collecting a specimen of csf, positioned on side, knees pulled up to abdomen, chin tucked in to chest, procedure is performed, the person sitting bent forward, skin is scrubbed, a local anesthetic is injected over the lower spine, spinal needle is inserted, between the 3rd, 4th lumbar vertebrae, once the needle is properly positioned, fluid pressures, measured, fluid, collected, sample is collected, needle is removed, area is cleaned, a bandage is applied, remain flat, 20 minutes to 1 hour, sample of at least 3 cc is taken, evaluation, be prepared to sign a consent form, to remain, in the hospital, at least several hours, observation, testing infants, children, test depends on child's age, level of trust, prepare child, infant test, procedure preparation, birth to 1 year, toddler test, procedure preparation, 1 to 3 years, preschooler test, procedure preparation, 3 to 6 years, schoolage test, procedure preparation, 6 to 12 years, adolescent test, procedure preparation, 12 to 18 years, curled position uncomfortable, must remain still to avoid moving the needle, possibly injuring the spinal cord, scrub, feel cold, wet, anesthetic, sting, burn, first injected, a hard pressure sensation, the needle is inserted, some brief pain, the needle goes, the covering, the spinal cord, pain should stop, few seconds, discomfort is minimal to moderate, entire procedure, takes, 30 minutes, take longer, actual pressure measurements, fluid collection only take a few minutes, this test is performed, nervous system shows active myelin breakdown, multiple sclerosis, most common cause, myelin breakdown, demyelination, encephalopathies, stroke, central nervous system hemorrhage, central nervous system trauma there, less than 4 ng/ml of myelin basic protein, in the cerebral spinal fluid, ng/ml = nanogram per milliliter, myelin basic protein levels between 4, 8 ng/ml, indicate a chronic breakdown of myelin, recovery, acute episode, myelin basic protein levels, greater than 9 ng/ml, active demyelination is occurring, risks of lumbar puncture, hypersensitivity, allergic, reaction, anesthetic, discomfort, headache, bleeding, spinal canal, brain herniation, performed on a person, increased intracranial pressure, resulting in brain damage, death, spinal cord, particularly person moves, cisternal puncture, ventricular puncture, tests done in other areas, the spine, brain, procedures carry additional risk of damage, brainstem, brain tissue, risk of bleeding, the brain, this test should not be performed on people, increased intracranial pressure is suspected.



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